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Elderly parents

What does "care package" actually mean?

55 replies

PinotPony · 30/11/2022 17:58

My elderly uncle is currently in hospital following a fall. He is confused and thinks the nurses are trying to poison him so keeps pulling his iv out.

My aunt cannot cope with him at home. His mobility is very poor but he refuses to use a Walker. He often doesn't make it to the toilet in time. He is quite belligerent and insists that he can do things for himself. His bedroom is upstairs so she has to help him up and down. My aunt is not strong enough to push his wheelchair so my dad will sometimes take his brother out for a walk.

My aunt is coming to the realisation that she does not want him to return home when he is discharged. She is at the end of her tether, absolutely exhausted. Their children support her and intend to talk to him about it together.

She has called SS but they won't get involved until he is medically fit for discharge. The hospital say he'll need a "care package"... but are really vague about it. Does this just mean care at home? I really don't think carers coming into the home will be enough. My poor aunt would still have to deal with him the rest of the time. He needs 24 hour care.

I'd be grateful for any advice on the steps we take to get him into a care home. Surely we don't wait until he's unnecessarily taking up an nhs hospital bed before setting this up?!

OP posts:
EmmaAgain22 · 30/11/2022 18:11

Oh I think you are meant to ask for a six week reablement package on discharge. For some reason, the words seem to be important.

when we took her out of hospital, they said because we were going private, "the system" considered her to be off their hands, but then the GP sorted out a physio who is coming to see her next week. (She's back home from the care home).

mdh2020 · 30/11/2022 18:10

A care package means social services are involved and if he goes home will arrange carers who have to be paid for. My DF insisted on going into a home because he sensed that he was going to deteriorate, which he did, and didn’t want my mum to have to look after him. If he will be self funding then you can simply find a suitable home. If you are going to need assistance paying for the home you will have to fight social services because they don’t want to pay and wont pay top prices.

Ilovethewild · 30/11/2022 18:10

Op, contact hospital social work team and explain there is no safe discharge.

if it’s his home it might be difficult to stop him returning but there will be a discharge meeting that family can attend.

care package is common from hospital to assess his needs, but you don’t have to accept it,

options?
if medically fit then hospital will discharge,

does he need care home or extra care sheltered (24/7 staffing)?

what does he want? Appreciate you are asking about Aunt but he has rights too.

MarshaMelrose · 30/11/2022 18:06

It depends on the needs of the patient but I think you can ask (insist) for them to go into a care home straight from hospital and it will be paid for for six weeks by social services. Your aunt would need to say she can't cope with him at home. If you found a nice home, you might find that at the end of six weeks, he doesn't want go come home but is happy to stay there.

EmmaAgain22 · 30/11/2022 18:06

Your aunt needs to tell the hospital she can't look after him

Please don't be alarmed, as every hospital will be different. My mum had a fall and after a few days they said they would discharge her with a once a day carer. I burst into tears and said there was no way in hell I could manage that. They then told me not to panic and they would not risk an unsafe discharge but it was a really scary prospect.

I think they would have then kept her maybe another week or so but a few days later I sorted out a (private) place in a care home.

But I don't even live with her and even then we - sis and I - had to be very clear that we couldn't look after her. I have mental health issues so told them that too.

what's the funding situation? Has his GP been involved?

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